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Twenty-two infarcts were seen in 13 of the 71 patients.Of these 22,the basal ganglia area was affected in 15,the middle cerebral artery territory in two,and the vertebrobasilar territory in five.Five patients had concomitant evidence of infection,six others used cocaine or were intravenous drug abusers.MR angiography was performed in eight patients; two of these had multiple lesions consistent with vasculitis,two had isolated lesions that corresponded with their parenchymal infarct,and four had normal findings.The frequency of infarction was 18%,higher than previously reported.The pathogenesis of infarction was multifactorial. Underlying infectious causes were identified in 39%of patients.Two patients had an idiopathic vasculitis. |
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